The Speech Lab Incoporated

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

THE SPEECH LAB INCOPORATED

Practice address

2900 Bristol St Ste E203
Costa Mesa, CA 92626-7908

Phone

(714) 580-4888

NPI assigned

Jan 11, 2016

Last updated

Jan 11, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jesse Coyle, M.S., CCC-SLPNPI 1780029017

Title

Founder

Phone

(714) 580-4888

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse Gabriel Coyle, CCC-SLP

  • Speech-Language Pathologist
  • Costa Mesa, CA
  • NPI 1780029017
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1538525274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 BUCKINGHAM DR",
            "address_2": "APARTMENT B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262129",
            "telephone_number": "714-580-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE E203",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267908",
            "telephone_number": "714-580-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH LAB INCOPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "714-580-4888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.